NPIMap

Organization Active NPI

Southwest Health System Inc

Doing business as Southwest Memorial Hospital

  • Critical Access Hospital
  • Cortez, CO
National Provider Identifier
1649241571
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11206 Issued in CO
Legal business name
SOUTHWEST HEALTH SYSTEM INC
Doing business as
Southwest Memorial Hospital
Practice address
1311 N Mildred Rd
Cortez, CO 81321
Phone
(970) 565-6666
Fax
(970) 564-2149
NPI assigned
Jan 30, 2006
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Theine
Title
Chief Executive Officer
Phone
(970) 564-2146

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Emergency Medicine Physician 207P00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Ophthalmology Physician 207W00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU
Diagnostic Radiology Physician 2085R0202X NU
Surgery Physician 208600000X NU
Hospitalist Physician 208M00000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
Critical Access Hospital 282NC0060X 11206 CO Primary
Land Ambulance 3416L0300X NU
Emergency Response System Companies 333300000X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

1311 N Mildred Rd
Cortez, CO 81321

Mailing address

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Other identifiers 2

IdentifierTypeStateIssuer
05002050MedicaidCO
04020020MedicaidCO

Other names 1

  • Southwest Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031125000607 CO Part B Supplier - Clinic/Group Practice 5890699326 Receives reassigned benefits from 107 practitioners
11 other NPIs on this enrollment
Practice locations: Cortez, CO; Mancos, CO
O20080219000693 CO Part A Provider - Critical Access Hospital 5890699326 Receives reassigned benefits from 85 practitioners
2 other NPIs on this enrollment
Practice locations: Cortez, CO
O20090310000646 CO Part A Provider - Critical Access Hospital 5890699326 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cortez, CO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1649241571. Details of each certification follow.

Hospital certification: CCN 061327

Legal name
SOUTHWEST HEALTH SYSTEM INC
Doing business as
SOUTHWEST MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 22, 2008
Last certification
Nov 8, 2023
Beds
20
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
May 14, 1996 in CO
Enrollment address
1311 N Mildred Rd
Southwest Memorial Hospital
Cortez, CO 81321-2231
Other Hospital Practice Location

Hospital certification: CCN 06Z327

Legal name
SOUTHWEST HEALTH SYSTEM INC
Doing business as
SOUTHWEST MEMORIAL HOSPITAL SWINGBED UNIT
Organization structure
OtherNon-profit
Incorporated
May 14, 1996 in CO
Enrollment address
1311 N Mildred Rd
Cortez, CO 81321-2231
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Southwest Memorial HospitalCCN 061327 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1311 N Mildred Rd
Ste A
Cortez, CO 81321
Phone (970) 564-2681

Interoperability endpoints

  • Direct secure messaging: blairpyle@swhealth.cernerdirect.com
  • Direct secure messaging: kentaikin@swhealth.cernerdirect.com
  • Direct secure messaging: randydavidson@swhealth.cernerdirect.com
  • Direct secure messaging: roberthill@swhealth.cernerdirect.com
  • Direct secure messaging: toddfowler@swhealth.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Hodgdon Individual Corporate Director May 22, 2019
Daniel Valverde Individual Corporate Director Jun 1, 2018
Joseph Theine Individual W-2 Managing EmployeeCeo Jul 1, 2023 100%
W-2 Managing Employee Jul 1, 2023 100%
Shirley Jones Individual Corporate Director Dec 5, 2018
Southwest Health System Inc Organization, Cortez, CO 5% Or Greater Direct Ownership Interest Dec 1, 2007
Operational/Managerial Control Dec 1, 2007
5% Or Greater Direct Ownership Interest May 1, 2009
Operational/Managerial Control May 1, 2009
Sean Killoy Individual Corporate Director Sep 22, 2021
Jay Wood Individual Corporate Director Jan 1, 2024
David L Dull Individual Corporate Director Jan 1, 2025
Eric Croke Individual Corporate Director Jan 1, 2024
Mary Dodd Individual Corporate Director Jan 1, 2025
Marjorie Strangl Individual Corporate Director Jan 1, 2025
James S Rogers Individual Corporate Director Jan 1, 2024

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwest Memorial Hospital Swingbed UnitCortez, CO, CCN 06Z327 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2009
May 1, 2009
Southwest Walk-in CareCortez, CO, CCN 068520 Rural health clinic Operational/Managerial Control (100%) Mar 1, 2011
Mancos Valley Health CenterMancos, CO, CCN 068521 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 22, 2012
Southwest School-Based Health CenterCortez, CO, CCN 063406 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 28, 2015

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 116

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 116

Affiliated clinicians 226

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 226

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1649241571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-6666",
            "fax_number": "970-564-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-565-6666",
            "fax_number": "970-564-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "THEINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "970-564-2146"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CO",
            "license": "11206",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05002050",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04020020",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.